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Family Respite Program Respite Service Report (RSR)
RSRs must be received by noon on the Friday the payroll period ends (see Payroll Schedule)
Dates must be MM/DD/YYYY format.
Enter the ID numbers of any children who received respite.
***PROVIDER MILEAGE REIMBURSEMENT***
Providers must be 21 years or older and provide a minimum of 4 hours of respite per service report. Mileage is reimbursable for one round trip from provider home to point of service and point of service to provider home only. Please record your TOTAL MILES below. Providers are NOT reimbursed for the first 20 miles and will not be reimbursed for more than 100 miles.
Respite providers are required to follow all NAMI Maine policies and all Respite Services Handbook procedures.Violations of policies and procedures will result in disciplinary action.